Individual provider Active NPI

Amber Michelle Brown, APRN, FNP-C

  • Family Nurse Practitioner
  • Blytheville, AR
National Provider Identifier
1508645474
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226199 Issued in AR
Practice address
1010 E Hollywood Ave
Blytheville, AR 72315-2552
Phone
(870) 409-7119
Fax
(870) 409-7120
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 226199 AR Primary

Addresses

Primary practice location

1010 E Hollywood Ave
Blytheville, AR 72315-2552

Mailing address

1010 E Hollywood Ave
Blytheville, AR 72315-2552
Phone (870) 409-7119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231211000802 TN Practitioner - Nurse Practitioner 4183073547 Reassigns benefits to 3 organizations
I20240116001651 AR Practitioner - Nurse Practitioner 4183073547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Fast Pace Mississippi PLLC 192 clinicians
Hometown Urgent Care of Dyersburg, PLLC 8 clinicians

Practice addresses (Care Compare)

1010 E Hollywood Ave
Blytheville, AR 72315-2552
Phone (870) 409-7119

1020 Hwy 62 E
Mountain Home, AR 72653-3216
Phone (870) 337-2172

1407 E Highland Dr
Jonesboro, AR 72401-6113
Phone (870) 604-3597

2550 Parr Ave
Dyersburg, TN 38024-2033
Phone (731) 325-5678

Hospital & facility affiliations

  • Great River Medical Center Hospital, Blytheville, AR, CCN 040069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
226199ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 26, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Aug 15, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Aug 15, 2024 Accepting new patients
Hometown Urgent Care of Dyersburg PLLC CurrentSince Nov 11, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 26, 2025 Accepting new patients

Locations

1010 E Hollywood Ave
Blytheville, AR 72315
Phone (870) 409-7119

1020 Highway 62 E
Mountain Home, AR 72653
Phone (870) 337-2171

200 S 20th St
Ste B
Rogers, AR 72758
Phone (479) 636-9393

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

665 N Main St
Crossville, TN 38555
Phone (931) 337-0510

2550 Parr Ave
Dyersburg, TN 38024
Phone (731) 325-5678

2019 Jacksboro Pike
La Follette, TN 37766
Phone (423) 437-3093

1181 Dolly Parton Pkwy
Sevierville, TN 37862
Phone (865) 446-1433

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1508645474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E HOLLYWOOD AVE",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152552",
            "telephone_number": "870-409-7119",
            "fax_number": "870-409-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E HOLLYWOOD AVE",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152552",
            "telephone_number": "870-409-7119",
            "fax_number": "870-409-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMBER",
        "middle_name": "MICHELLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "226199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

Verify at the official NPI Registry.